Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,853.87 / $3,490.31 / $7,920.26	Facility		$2,853.87	$3,490.31	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,278.57 / $2,991.97 / $3,658.65	Professional		$2,278.57	$2,991.97	$3,658.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,572.21 / $2,568.58 / $3,962.49	Facility		$1,572.21	$2,568.58	$3,962.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,978.01 / $2,767.77 / $2,912.49	Facility		$1,978.01	$2,767.77	$2,912.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $2,913.43 / $3,962.49	Facility		$1,664.70	$2,913.43	$3,962.49
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $555.16 / $555.16 / $555.16	Facility	80	$555.16	$555.16	$555.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,463.69 / $7,463.69 / $7,463.69	Facility		$7,463.69	$7,463.69	$7,463.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00